HomeMy WebLinkAboutLat_13516PulaskiDriveWASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY. Ml-'
Project: V,IIA(rZ
Street (or location): PuLasK, 026V(
Contractor: Cur,/3Zy. CANS. vAuI-�-A
SANITARY SEWER LATERAL
CONSTRUCTION REPORT
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Date Installed I
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WYE SIZE- TYPE DEPTH TYPE EXCAVATION
TYPE PIPE C.O. C.O. LATERAL LENGTH LAYING LENGTH
NOTES:
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Depth of Cleanout at Flow Line
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Layed at
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Amounts pertaining to work completed this period, reviewed and approved-
BY
pprovedBY
'\W6Sb INSPECTOR C ACTOR REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
00 Washington County, Maryland
g` A Department of Water Quality
r
16232 Elliott Parkway
Williamsport, MD 21795
RYL"`` 240.313.2600
PUBLIC WATER/SEWER SYSTEM CONNECTION PERMIT
Type of permit: RES Type of service: SEWER
Service Area: Mau gansvi I le/Orchard Hills
Building Permit No.:
WASHCO account No.: 0
Service Area No.: 150
Permission is hereby given to:
Property Owner: NORTH VILLAGE DEVELOPMENT
Applicant: ADMAR CUSTOM HOMES
Street: 5705 INDUSTRY LANE
City: FREDERICK
State: MD
Zipcode: 21704�,n
For property located at:''��
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Street:�l36#=PULASKI DRIVE
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City: HAGERSTOWN
State: MD
Zipcode: 21740
,/►the property in a divison? YES
Subdivision na : NORTH VILLAGE
Subdivison lot no.: _
Subdivision phase: I
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3072
Issue Date: 12/02/2003
*Void Date: 12/02/2004
Fees paid in full? YES
Date fees paid: 12/02/2003
Type of EDU: RES
Number of EDU's: I
Gallons per day allocation: 200
DWQ connection fee: $1,800.00
Misc. connection fees: 300.00
City fees paid to (city):
City fees (amount): $1,800.00
Total fees charged: $3,900.00
Water & Sewer Department notes:
*Connection related comments:
This permit is good for one year from issuance date. A fee differential may be charged to reflect allocation fee increases if property is not
connected by the permit void date.
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system shall conform with the
provisions of Maryland State laws and County policy.
This permit does not supersede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc.
ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THERE
WITH REMAINS WITH THE PROPERTY OWNER.
Signed:13 Date: 12/02/2003
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
80 W. Baltimore Street
Hagerstown, MD 21740-4727
Phone: 240.313.2460
a I
Inspection Date: 3— _lett _ Plumbing Inspector: ��